Claims Project Manager

Claims Project Manager

AgreeYa is a global Systems Integrator and is seeking an experienced Claims Project Manager/Scrum Master to join our growing team. The ideal candidate will have a strong background in healthcare or insurance claims processing, project delivery, and Agile methodologies. This role requires dual responsibility as both a Project Manager and Scrum Master, leading large-scale platform modernization and transformation initiatives while managing budgets, timelines, risks, and stakeholder communications.

Job Responsibilities:

• Lead and manage healthcare/insurance claims-related projects and platform modernization initiatives.
• Serve as both Project Manager and Scrum Master, ensuring successful project execution and Agile delivery.
• Develop and maintain detailed project plans, roadmaps, schedules, and executive-level presentations.
• Manage project budgets, including resource allocation, labor costs, Statements of Work (SOW), infrastructure, and cloud expenses.
• Facilitate Agile ceremonies including sprint planning, stand-ups, retrospectives, and backlog grooming sessions.
• Coordinate cross-functional teams across business and technical organizations.
• Monitor project progress, risks, issues, dependencies, and mitigation strategies.
• Provide regular status reporting and executive updates to senior leadership.
• Facilitate technical and business discussions to drive decision-making and project alignment.
• Ensure project deliverables meet business objectives, quality standards, and timelines.
• Support Agile, Hybrid, Waterfall, and Kanban project delivery methodologies as required.

Required Skills & Experience:

• Experience in healthcare and/or insurance industry environments.
• Strong knowledge of Claims Processing and Claim Adjudication.
• Proven experience managing claims-related projects and programs.
• Experience leading large-scale platform modernization, transformation, or enterprise technology initiatives.
• Experience serving as both Project Manager and Scrum Master.
• Strong knowledge of Agile, Hybrid, Waterfall, and Kanban delivery methodologies.
• Experience managing project budgets, resource costs, infrastructure expenses, cloud costs, and vendor engagements.
• Proficiency in developing project plans, roadmaps, executive presentations, and project reporting.
• Experience providing status updates, risk management, and issue reporting to senior leadership.
• Strong stakeholder management, communication, and facilitation skills.
• Ability to effectively lead technical and business discussions.

Preferred Skills & Experience:

• Experience with Jira for Agile project tracking and management.
• Experience with IBM Rational Team Concert (RTC).
• Experience with IBM Rational Requirement Composer (RRC).
• Experience with Clarity for project financial and budget management.
• Experience using SharePoint, QuickBase, and Microsoft Office Suite.
• Experience managing enterprise cloud transformation initiatives.
• PMP, Scrum Master, Agile, or related project management certifications preferred.

Education Required:

• Bachelor's degree in business administration, Information Technology, Healthcare Administration, Computer Science, or a related field.
• PMP, Certified Scrum Master (CSM), PMI-ACP, or equivalent certifications are a plus.

AgreeYa is a global systems integrator delivering competitive advantage for its customers through software, solutions, and services. Established in 1999, AgreeYa is headquartered in Folsom, California, with a global footprint and a team of more than 2,200 staff across offices. AgreeYa works with 500+ organizations ranging from Fortune 100 firms to small and large businesses across industries such as Telecom, Banking, Financial Services & Insurance, Healthcare, Utility & Energy, Technology, Public sector, Pharma & Biotech, and others. Please visit us at for more information. AgreeYa is an equal opportunity employer. We evaluate qualified applicants without regard to race, color, religion, gender identity, sexual orientation, national origin, disability, veteran status or other protected characteristics.